Universitat Internacional de Catalunya
Medical Practicums 1
Other languages of instruction: Catalan
Teaching staff
Dr. Roger Malo rmalo@uic.es
Introduction
The Medical Clinical Practice (PCM) program allows students to acquire and develop the knowledge, skills, attitudes and clinical judgment necessary to achieve an adequate professional practice. This is accomplished by applying theoretical learning to clinical practice in a supervised setting. Thus PCM is a critical part of medical student training and an essential part of learning.
PCM1 takes place in the third year of medical school and is the first contact that students will have with patients. This continues into the fourth year with PCM2, where students will further develop and refine clinical skills. Both PCM1 and PCM2 take place in acute care and emergency services divisions of the hospital.
In PCM, the student participates in clinical work with a medical team, applying theoretical knowledge to patient care. The student will obtain and document patient medical histories, an essential tool of medical practice, known as anamnesis, perform physical examination and interpret relevant tests. By critically analyzing this information, using a process of reasoning and clinical judgment, the student will ultimately determine the differential diagnoses and develop a therapeutic plan of care for each patient.
During the days of the PCM internship the student is integrated into the clinical team and is responsible for the monitoring and care of assigned patients. The student is also expected to attend clinical sessions and seminars.
With this experience, students develop clinical skills in an environment of teamwork and transversal skills and communication skills with patients and other professionals who will lead you to greater professional development.
Pre-course requirements
It is essential that the student has completed the following subjects:
- Structure and Function of the Locomotor System
- Structures and Function Skin and Organs of the senses
- Structures and Function of integration systems: nervous and endocrine
- Structures and Function Cardiovascular, respiratory and renal system
- Structures and Function Digestive System and Metabolism
- Structures and Function of the Reproductive system
- Structures and Function of the Blood and Immune system.
- Semiology and Physiopathogenesis (having taken or be enrolled in the subject)
Objectives
The main objective of PCM is to develop the knowledge, skills and attitudes of a general practitioner critical to successful autonomous practice. This is accomplished by preceptorship by practicing physicians and other healthcare professionals.
During each PCM, the student will develop the following skills:
In relation to clinical history:
- Perform a systematic patient-centered anamnesis (real and simulated patient with a time limit), considering its features.
- Perform routine physical examination
- Recognize abnormalities on physical examination
- Conduct a concise and understandable for third of the registration data history and examination
- Identify the needs of the patient and the family and social environment
In relation to the diagnostic process:
- Distinguish acute and chronic symptoms and signs of serious pathology.
- Interpret laboratory and diagnostic test results recognizing the normality and abnormalities.
- Know how to find information to supplement the study of cases attended and topics of interest
In relation to multidisciplinary work:
- Know and enable continuity of care after discharge by coordinating with other members of health care team, patient, and patient’s family as appropriate.
In relation to interprofessional communication:
- Understand and be a part of the dynamics of the health care team work
- Attend and participate if appropriate in clinical sessions
Competences/Learning outcomes of the degree programme
- 04 - Develop professional practice with respect for patient autonomy, beliefs and culture.
- 06 - Develop professional practice with other health professionals, acquiring teamwork skills.
- 13 - Obtain and develop a clinical history that contains all relevant information.
- 21 - Listen carefully, obtain and synthesize relevant information about the problems affecting the patient and understand the contents of this information.
- 22 - To write and maintain medical records and other medical documents which can be understood by third parties and are adapted to the protocols and information that is required.
- CTP-3 - To develop critical thinking and reasoning as well as self-assessment skills.
Learning outcomes of the subject
At the end of practice, students will be able to:
- Develop a complete medical history with all sections: history, physical examination, evaluation of additional evidence.
- Write medical history, reports, instructions and other records that are understandable to patients, families, and other professionals.
- If accurate, analyze and interpret information to reach a diagnosis.
- Interpretation of results derived from the different tests carried out.
- Develop a hospital admission report.
- Perform relevant literature search to complete the study patient.
- Communicate with the medical team.
- Work alongside clinicians and infirmary team and participate in the discussion of clinical cases.
- Communicate with patients and their families clearly and effectively.
-Assume different responsibilities in individual or collaborative work and evaluate the results obtained.
-Acquire and demonstrate knowledge of the theoretical and practical aspects and of the work methodology in the field of clinical practice.
-Move correctly in the general use of ICT and especially in the technological environments of the professional field.
Syllabus
To conduct a systematic anamnesis, oriented clinical syndrome:
Current illness
Allergies and intolerances
Family background
Personal history
Medical history - anamnesis by devices
Common drugs
To conduct a systematic exploration:
Overall rating
Mental health
Interpretation of vital signs
Exploration skin and mucous membranes
Exploration lymphadenopathy
Scan head, neck and breast
Exploration cardiovascular system
Exploration breathing apparatus
Exploration digestive
Exploration nephrourologic
Exploration neurological system
Exploration locomotor - Osteoarticular
Nutritional status assessment
• Record medical history and summary admission report, valuing the additional tests.
• Clinical follow-up of patients assigned. Knowing treatment and continuity of care after discharge.
• Look for information to complete the study of the process / s pathological / s that affect patients.
• Integrate in the work team (attending physician, resident, nurse and other health professionals) providing patient care.
•Attend and participate if appropriate in clinical sessions.
A detailed explanation on how to perform each of these tasks will be provided.
Teaching and learning activities
In blended
The subject Medical Practices 1 (PCM1) with its objectives and evaluation methods will be explained through an online conference. The rest of the seminars will be held in person.
Evaluation systems and criteria
In blended
The evaluation criteria will not be modified except that the practices cannot be carried out totally or partially.
Bibliography and resources
McGee, S (2017). Evidence-Based Physical Diagnosis (4 ed.). Philadelphia: Elsevier.
Farreras, V., Rozman, C., Cardellach López, F. (2020). Medicina Interna (19 ed.). Elsevier.
Jameson, JL., Fauci, A.S., Kasper, D.L., Hauser, S.L., Longo, D.L., Loscalzo, J. (2019). Harrison's Principles of Internal
Medicine (20 ed.). New York: McGraw-Hill Medical.
Swartz, M (2015). Tratado de semiología: Anamnesis y exploración física. (7 ed.).
Noguer-Balcells P, Prieto Valtueña JM. (2016). Exploración clínica práctica. (28 ed.).